Exam 7: Community-Based Nursing and Home Care

The ambulatory care nurse explains to an individual scheduled for an initial clinic appointment after joining an HMO that assigns an RN case manager to every patient in the HMO. The nurse will further explain that

A 78-year-old patient hospitalized for surgical repair of a fractured hip has recovered from the surgery but continues to have a nursing diagnosis of impaired physical mobility related to decreased muscle strength. The nurse will anticipate transferring the patient to

When practicing as a home health care nurse, the RN (Select all that apply.)

In describing home care services to a patient requiring extended care, the nurse tells the patient that

Which of these patients should the nurse refer for Medicare-reimbursed home health services?

A patient who belongs to an HMO is assigned a nurse as a case manager after being in an automobile accident. The actions of the nurse in this role are to

Which of these nursing activities is appropriate for the home care RN who is caring for a newly diagnosed diabetic patient to delegate to a home health aide?

The home health nurse visits a diabetic patient who has an infected heel wound to perform daily dressing changes and wound assessment. The nursing diagnosis of impaired tissue integrity is developed for the patient. To evaluate the patient outcome, the nurse will collect data about

When making an initial home visit, the most appropriate approach by the nurse is to

Which of these patients being discharged by the acute care nurse meets the requirements for Medicare reimbursement for home health services?

A patient tells the nurse, "I have to be insured through a health maintenance organization (HMO) now. I don't understand what a health maintenance organization is." The best response by the nurse includes the information that